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Part 1 Mapping and understanding medical: beyond blaming and perfection - a multi-dimensional approach to medical mishaps error in medicine human factors approaches in medicine. Part 2 An international perspective: medical accidents in the UK - a wasted opportunity for improvement? research on errors and safety in Dutch general and hospital practice medical accidents and mishaps - the Swedish situation safety of health care in Australia - adverse events to hospitalized patients in Australia. Part 3 The escalation and mitigation of mishaps calling doctors and hospitals to account - complaining and claiming as social processes doctors' responses to patient complaints how doctors think about medical mishaps mediation of medical negligence actions - an option for the future? medical education - tomorrow's doctors today. Part 4 Views from the coalface: the doctors' perspective reflecting on medical mishaps dysfunctional doctors - the GMC's new approach medical mistakes - a view from the BMA the role of quality improvement the managers' perspective medical mishaps - a managerial perspective managing risk and claims - pieces of the puzzle the patients' perspective the patients' perspective community health councils - helping patients through the complaints procedure the right to redress - complaints and principles of grievance procedure the price of deceit - the reflections of an advocate.